| NPI | 1588736938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM R45687) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM R45687) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NM R45687) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2023-11-16 |