| NPI | 1376970822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 275) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN R184950-3) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2022-12-05 |