| NPI | 1316368087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 2612) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO ap124912) |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2024-11-22 |