NPI | 1811465313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0002612-C-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP139461) |
Enumeration Date | 2018-11-02 |
Last Update Date | 2025-07-14 |