| NPI | 1750484093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP00190) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM R16262) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2017-06-01 |