| NPI | 1295926145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R28615) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN R 181050-3) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2022-03-30 |