| NPI | 1356650196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0990577-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 546701) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2017-10-24 |