| NPI | 1144208976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 3280) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R1433638-5) |
| 363L00000X Nurse Practitioner (Licence: ND R32669) | |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2018-10-24 |