| NPI | 1801225446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 226082) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 216685-8) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2021-01-05 |