| NPI | 1447757398 |
|---|---|
| Former Name | JAVANNA COLON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP137413) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 861459) |
| Enumeration Date | 2018-04-08 |
| Last Update Date | 2018-09-15 |