| NPI | 1457693657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 5369-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 177185-30) |
| 163W00000X Registered Nurse (Licence: MN R157161-9) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN R157161-9) | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2023-08-14 |