| NPI | 1659925246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 6809) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 39) |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2020-10-05 |