| NPI | 1437112315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1122) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R-176503-0) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2022-05-23 |