| NPI | 1265787030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 707614) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TX 707614) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CO C-APN.0000215-C-NP) | |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2022-01-19 |