| NPI | 1649340993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP00943) |
| Additional Taxonomies | 364SC1501X Clinical Nurse Specialist, Community Health/Public Health (Licence: NM CNS-00232) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2018-03-17 |