NPI | 1811471402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996777-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137944) |
Enumeration Date | 2018-09-19 |
Last Update Date | 2023-07-27 |