| NPI | 1801988662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0001054-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 586474) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM CNP01413) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2022-02-08 |