| NPI | 1710359732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 111936) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 9077) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2022-06-08 |