| NPI | 1366436321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-01843) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM CNP-01843) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2024-05-08 |