| NPI | 1811602428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 8717) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A171144) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11021429) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ND R35843) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 12246-33) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SD CP002550) | |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2023-01-18 |