| NPI | 1114493665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-66029) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID 59923) |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2023-10-18 |