| NPI | 1225145766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02515) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 356-033) |
| 363L00000X Nurse Practitioner (Licence: WI 57883-030) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2016-04-26 |