| NPI | 1457660078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-01674) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX R41173) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2016-12-20 |