| NPI | 1427338417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R184970-7) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60759481) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2018-03-17 |