| NPI | 1497293153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 113335) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-03266) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2022-06-07 |