| NPI | 1588259154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO C-APN0002783) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 786713) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP138425) | |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2021-04-22 |