| NPI | 1497092225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9564) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R210974-7) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 9564) | |
| 363LN0000X Nurse Practitioner, Neonatal (Licence: WI 9564) | |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2025-01-22 |