| NPI | 1467680991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9427263) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MN R 136020-2) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2023-01-10 |