| NPI | 1427420223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 54428) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM 54428) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP129419) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0100463-C-NP) | |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2023-06-14 |