| NPI | 1710216023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP02248) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2901) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2024-02-09 |