| NPI | 1073744934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 185) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 185) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA 107663) | |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2022-11-14 |