| NPI | 1457583189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP9938) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MN R144785-3) |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2022-11-14 |