| NPI | 1962478412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM R23239) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP00402) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2022-02-03 |