| NPI | 1255604914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP02969) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM cnp02969) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL C600-000-85-788-0) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM cnp-02969) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9278920) | |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2023-10-04 |