| NPI | 1215941380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP01034) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R43983) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2021-03-04 |