NPI | 1881688489 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0994110-NP) |
Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: IA A104321) |
363LF0000X Nurse Practitioner, Family (Licence: IA A-104321) | |
Enumeration Date | 2005-09-09 |
Last Update Date | 2023-11-01 |