| NPI | 1598039463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 4920) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A-104707) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2025-04-29 |