NPI | 1770648156 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0990507-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APN000725) |
363LF0000X Nurse Practitioner, Family (Licence: CO 0990507) | |
Enumeration Date | 2006-12-26 |
Last Update Date | 2023-03-07 |