| NPI | 1295250850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP-03313) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP03313) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2022-07-21 |