| NPI | 1033225610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO 1625108) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MN R155187-5) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2016-06-14 |