| NPI | 1114323086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 8055-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R196519-9) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2018-03-17 |