| NPI | 1891233821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133266) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0104456-C-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: ND 201049) | |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2025-10-28 |