| NPI | 1326674433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R41553) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 7274) |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2024-01-29 |