| NPI | 1295767994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R19454) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ND PAC0005) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2022-10-06 |