| NPI | 1437334935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP 3902) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.006895) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2015-07-02 |