| NPI | 1215180047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP130797) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP130797) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-RXN.0101484-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0102271-C-NP) | |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2024-06-07 |