| NPI | 1649548199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP-02253) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 801819) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2013-09-09 |