| NPI | 1174726186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 660909) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO C-APN.0001731-C-NP) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2022-01-04 |