NPI | 1811596745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO C-APN.0100491-C-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 24234) |
363L00000X Nurse Practitioner (Licence: NE 114828) | |
Enumeration Date | 2020-10-21 |
Last Update Date | 2023-07-28 |