| NPI | 1811471881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R48507) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 6147) |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2020-01-13 |