| NPI | 1164495602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02647) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MO 112925) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2016-03-04 |