| NPI | 1851371462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R 187349-8) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 190617) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2009-02-09 |