| NPI | 1396231296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 7714) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN215809) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2020-12-22 |