| NPI | 1730280678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN116559) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R 090719-0) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ RN116559) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MN R 090719-0) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2012-12-11 |