| NPI | 1205446077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MN 9669) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 95014762) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2024-03-25 |