| NPI | 1215984174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP00375) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R22072) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-09-09 |