| NPI | 1649793175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0998389-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134486) |
| 163W00000X Registered Nurse (Licence: CO RN.1687316) | |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2024-11-08 |