| NPI | 1811150063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 5569) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 173341) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 876) | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2018-03-17 |