| NPI | 1437128352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R100061 4) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 142519) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2013-06-25 |