| NPI | 1588013619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02995) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R52219) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2023-08-17 |