| NPI | 1508847344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP00633) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R31062) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2024-08-06 |