| NPI | 1396104196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02849) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020891) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2024-10-16 |