| NPI | 1811471402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0996777-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP137944) |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2023-07-27 |