| NPI | 1366776155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-03370) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3461) |
| 363LF0000X Nurse Practitioner, Family (Licence: ME AP111076) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2285633) | |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2019-02-11 |