| NPI | 1285081323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R34095) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 233677-2) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2022-03-30 |