| NPI | 1912940057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123701) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN-.0000463-C-NP) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2019-12-18 |