NPI | 1932656212 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0998817-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1619369) |
Enumeration Date | 2016-09-05 |
Last Update Date | 2023-10-30 |