| NPI | 1861644866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02355) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 627101) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2017-03-10 |