| NPI | 1659482180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 6645-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R158431-8) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP 23482) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-04-13 |