| NPI | 1255707410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 4649) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 006129) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2021-10-25 |