| NPI | 1043568918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP4482) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1020874) |
| Enumeration Date | 2012-08-26 |
| Last Update Date | 2019-07-23 |