NPI | 1750924346 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995207-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0173493) |
Enumeration Date | 2019-10-25 |
Last Update Date | 2021-06-04 |