| NPI | 1669535092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 3063-033) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R142404-1) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2018-02-26 |