| NPI | 1396184123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R32234) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 796) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2025-01-25 |