| NPI | 1306482245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 7247) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 13982) |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2024-02-28 |