| NPI | 1396982146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN R197878-8) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H089429) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2014-09-17 |