| NPI | 1073810404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 12324) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 790561) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 16304-33) | |
| Enumeration Date | 2011-02-21 |
| Last Update Date | 2025-01-23 |