NPI | 1831515261 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0991864-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9282471) |
Enumeration Date | 2014-03-10 |
Last Update Date | 2016-08-10 |