| NPI | 1952121329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 12128) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 15962-33) |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2024-10-11 |