| NPI | 1346370475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R39749) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R151786-4) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2014-03-20 |