| NPI | 1730691742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 78581) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NM RN-82564) |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2024-04-09 |