| NPI | 1518526458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MN 6606) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 6606) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |