| NPI | 1871923201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9432576) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R189557-3) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9432576) | |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2023-11-17 |