| NPI | 1386058246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 9832) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MS R882365) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2023-01-23 |