| NPI | 1114110558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM R39646) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NM CNP00871) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2023-11-15 |