| NPI | 1538409420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02141) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NM R47165) |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2016-04-04 |