| NPI | 1780928085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NM CNP02093) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM R67886) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2015-06-09 |