| NPI | 1265417810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 245) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 27658422) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2020-09-17 |