| NPI | 1720033004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP00737) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R35106) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2019-03-25 |