| NPI | 1144662719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R37595) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R187809-5) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2022-03-30 |