| NPI | 1215996244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 2582) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 1272581) |
| 163W00000X Registered Nurse (Licence: MN 1272581) | |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2022-05-12 |