NPI | 1922061621 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 164236) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 431528-1) |
364SC1501X Clinical Nurse Specialist, Community Health/Public Health (Licence: CO 164236) | |
Enumeration Date | 2006-04-11 |
Last Update Date | 2023-11-02 |