| NPI | 1538194550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP00774) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R36388) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2017-04-17 |