| NPI | 1215306154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 111997-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP3948) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2025-01-08 |