| NPI | 1588734255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO CAPN0002085) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 631311) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-10-16 |