| NPI | 1003328667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP-03521) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134764) |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2018-04-17 |