| NPI | 1851462014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R-16251) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ND PAC0057) |
| 363LF0000X Nurse Practitioner, Family (Licence: ND R16251) | |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2021-10-28 |