| NPI | 1144476615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 183780-3) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 1535) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2020-10-05 |