| NPI | 1215461009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-03569) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 105896) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2023-07-12 |