| NPI | 1396137261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 10824) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002304) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2023-10-24 |