| NPI | 1548598071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP-01849) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 3911) |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2020-11-11 |