| NPI | 1124557103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R52883) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 5150) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2022-11-28 |