| NPI | 1003643487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND 201018) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 2529836) |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-09-18 |