| NPI | 1881929446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP9880) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2262900) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2262900) | |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2024-03-28 |