NPI | 1831566033 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0993175-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1648782) |
363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993175-NP) | |
363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9380906) | |
Enumeration Date | 2015-08-24 |
Last Update Date | 2021-02-15 |