NPI | 1881243251 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995895-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11004056) |
Enumeration Date | 2019-09-09 |
Last Update Date | 2021-09-02 |