NPI | 1952945305 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-RXN-0001270-C-NP) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 812958) |
Enumeration Date | 2019-10-29 |
Last Update Date | 2022-08-26 |