| NPI | 1568573475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02454) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA-003143-L) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA TP006242B) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 287073-8100) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 070035) | |
| 363A00000X Physician Assistant (Licence: CA 13745) | |
| 163W00000X Registered Nurse (Licence: NM 81467) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-03-15 |