| NPI | 1720211568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM CNP-03037) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NM CNP-03037) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 716000) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NM CNP-03037) | |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2023-03-08 |