| NPI | 1548506405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 3236) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R 156801-7) |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2023-10-23 |