| NPI | 1265413447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP01151) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R47083) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0001144582) | |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2024-04-24 |