| NPI | 1538127980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP01081) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R45376) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2019-11-26 |