NPI | 1851645535 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0999707-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1617440) |
Enumeration Date | 2012-11-02 |
Last Update Date | 2024-05-08 |