| NPI | 1053501866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 141166) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 14116) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 696) | |
| 363L00000X Nurse Practitioner (Licence: WI 3180) | |
| 363L00000X Nurse Practitioner (Licence: MN 696) | |
| 363L00000X Nurse Practitioner (Licence: MN R 202693-0) | |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2024-03-05 |