| NPI | 1912977133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R184105-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA np12228) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2014-11-04 |