| NPI | 1841711298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MN 5204) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 237482-30) |
| 163W00000X Registered Nurse (Licence: MN 2039040) | |
| 363LF0000X Nurse Practitioner Family (Licence: WI 7944-33) | |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2017-10-16 |