| NPI | 1700376183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137878) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 839713) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0001927-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-RXN.0000913-C-NP) | |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2020-06-25 |