| NPI | 1386777878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP00494) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R26153) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2017-08-17 |