| NPI | 1063836294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 5882) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA 12209) |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2020-10-05 |