| NPI | 1063751279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02122) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 6629) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NM CNP-02122) | |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2025-08-20 |