| NPI | 1598283145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-03352) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134460) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2020-09-14 |