| NPI | 1609843689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP00916) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R41076) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2011-08-01 |