| NPI | 1376884759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-03012) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 17304) |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2017-01-06 |