| NPI | 1285788422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-01775) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 110809) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A-113544) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2026-03-19 |