| NPI | 1427386838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201504877NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R39440) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN R190919-7) | |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2024-04-09 |