| NPI | 1326048232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R18461) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R18461) |
| 363A00000X Physician Assistant (Licence: ND PAC0060) | |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2023-11-29 |