| NPI | 1245241629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 984) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP0984) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2025-06-03 |