NPI | 1982004982 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0994772-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0200591) |
Enumeration Date | 2014-08-26 |
Last Update Date | 2024-11-18 |