| NPI | 1275664062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1177417) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 170472) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CO 10167) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2025-07-17 |