| NPI | 1568838381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02764) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM CNP-02396) |
| Enumeration Date | 2015-08-16 |
| Last Update Date | 2015-09-21 |