| NPI | 1083137202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0998687-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP134095) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2024-04-26 |