| NPI | 1528207917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 11283) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 14535) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2024-03-28 |