| NPI | 1528386034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-01913) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R866255) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2022-06-06 |