| NPI | 1588163968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 7911) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND R45232) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2022-02-09 |