| NPI | 1013347186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 7802) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 147834) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60425454) | |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2020-10-07 |