| NPI | 1598881252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 4483) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 133508 8) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2021-12-06 |