| NPI | 1578063053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TX 831578) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 831578) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP137832) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0001156-C-NP) | |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2024-08-28 |