| NPI | 1083725014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 506) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 176516-6) |
| 363L00000X Nurse Practitioner (Licence: TN APN6280) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 506) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-07 |