NPI | 1801406194 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0103824-C-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11007791) |
Enumeration Date | 2020-08-03 |
Last Update Date | 2025-03-11 |