| NPI | 1205310844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145916) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO APN.0994149-NP) |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2020-08-25 |