| NPI | 1457366916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP00146) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NM R14643) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2017-03-22 |