| NPI | 1770849911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ND R36842) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN R 137321-5) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2016-11-01 |