| NPI | 1760813505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R34334) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2485111) |
| 363L00000X Nurse Practitioner (Licence: MN 7787) | |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2024-11-26 |