| NPI | 1366720864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001960) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R167908-8) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP60362419) | |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2021-05-25 |