| NPI | 1275005548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 6703) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 8957-33) |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2020-09-18 |