| NPI | 1548293350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R31744) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R131155-2) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2015-12-26 |