| NPI | 1558659086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R39399) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R1978476) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2024-03-08 |