| NPI | 1023432606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-03270) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NM RN-78002) |
| 363L00000X Nurse Practitioner (Licence: NM 03270) | |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2024-01-16 |