| NPI | 1932213147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 155646-9) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A-092130) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |