| NPI | 1104001866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP00224) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R17140) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2017-11-30 |