| NPI | 1063895340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM TEMP86135) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95027940) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9199571) | |
| Enumeration Date | 2015-07-03 |
| Last Update Date | 2026-01-06 |