| NPI | 1346889334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 7277) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 10682-33) |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2021-03-01 |