| NPI | 1568528313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CO APN.0992452-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 230800) |
| 363L00000X Nurse Practitioner (Licence: TX 230800) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: TX AP102255) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2018-07-16 |