| NPI | 1679834857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 162013-30) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R207746-8) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2021-03-31 |