| NPI | 1336233444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 2922) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN R1821330) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2015-04-06 |