| NPI | 1548681349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP-03162) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NM CNP-03162) |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2022-09-23 |