| NPI | 1942751797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R1623486) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95005064) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2019-04-02 |