| NPI | 1831411784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 11532) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016789) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 336193) | |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2024-07-30 |