| NPI | 1689947038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NM CNP02152) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NM CNP-02152) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NM CNP-02152) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NM RN77315) | |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2014-07-28 |