| NPI | 1871943365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 4824) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 191383-7) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2020-10-05 |