| NPI | 1083072466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R42729) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 4463) |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2023-06-22 |