| NPI | 1184071359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131005) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0001234-C-NP) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2024-08-12 |