| NPI | 1548784648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 5847) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN177583) |
| 163W00000X Registered Nurse (Licence: MN 2464024) | |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2018-05-24 |