| NPI | 1093889735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02251) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 10821) |
| 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37319) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 10821) | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2025-11-05 |