| NPI | 1568538759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM R31966) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP00661) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2023-02-17 |