| NPI | 1285939215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 232333-2) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 2258920) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2017-12-06 |