| NPI | 1558558007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 265) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R069757-8) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2018-04-20 |