NPI | 1982170585 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993596) |
Additional Taxonomies | 208D00000X General Practice (Licence: CO APN.0993596-NP) |
Enumeration Date | 2018-10-22 |
Last Update Date | 2024-09-13 |