| NPI | 1689116907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132642) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 814906) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 814906) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0102845-C-NP) | |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2024-09-09 |