| NPI | 1679039465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-67508) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019000935) |
| Enumeration Date | 2019-02-16 |
| Last Update Date | 2022-04-07 |