| NPI | 1184851594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 10630039-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201150194NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN CNP 3525) | |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2023-07-06 |