| NPI | 1184210528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 7735) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX W22088660M) |
| 363L00000X Nurse Practitioner (Licence: MN 7735) | |
| Enumeration Date | 2020-12-20 |
| Last Update Date | 2024-06-03 |