| NPI | 1538447016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009175) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R 211982-1 CNP) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 15944) | |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2023-07-10 |