| NPI | 1689971046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP3871) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 153720-0) |
| 363L00000X Nurse Practitioner (Licence: NM 53341) | |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2024-09-04 |