| NPI | 1588146732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 6158) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 2050207) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2021-03-11 |