| NPI | 1134892771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 8306) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A164273) |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2024-02-09 |