| NPI | 1508826082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 100789) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R-121471-4) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2024-09-18 |