| NPI | 1659805919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131865) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0100991-C-NP) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2023-10-20 |