| NPI | 1821394321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 7073) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 1625-33) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2021-05-24 |