NPI | 1902255748 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0101422-C-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131095) |
363LF0000X Nurse Practitioner, Family (Licence: NC 5015788) | |
Enumeration Date | 2016-06-10 |
Last Update Date | 2023-11-20 |