NPI | 1922731553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO C-APN.0004186-C-NP) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2021047408) |
Enumeration Date | 2022-07-01 |
Last Update Date | 2022-07-01 |