NPI | 1841776291 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 6176) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO APN.0993965-NP) |
Enumeration Date | 2018-07-18 |
Last Update Date | 2024-01-22 |