| NPI | 1053026070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R38049) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND R38049) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 9983) | |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-04-05 |