| NPI | 1013986710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 223145-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0991964-C-NP) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2018-10-12 |