| NPI | 1780607788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND 29370) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R1717185) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2024-04-24 |