| NPI | 1346229531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A113916) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 130389-0) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2025-10-30 |