NPI | 1912354291 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992474-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 0189463) |
Enumeration Date | 2016-05-17 |
Last Update Date | 2024-07-01 |