| NPI | 1508916875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP-01513) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 13235) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2013-02-11 |