| NPI | 1235113689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NM CNP-00218) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NM R17008) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2016-05-20 |