| NPI | 1053390757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 307) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R 137741-5) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2025-10-30 |