| NPI | 1508172933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP-01676) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM GP-00546) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2023-10-20 |