| NPI | 1497387195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R39483) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 7431) |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2021-05-17 |