| NPI | 1245780949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO C-APN-0000867-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131859) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2018-09-14 |