| NPI | 1508317413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-RXN.0000259-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131709) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2017-03-31 |