| NPI | 1003238353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02392) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000018106) |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2020-04-20 |