| NPI | 1396272159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MN 1986343) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MN 5170) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2021-12-06 |