| NPI | 1982734125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP00963) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM CNP00963) |
| 363L00000X Nurse Practitioner (Licence: NM R42195) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-09-17 |