| NPI | 1710165881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02437) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM R62161) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2014-09-02 |