| NPI | 1952754459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R1973864) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 83659) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2024-11-14 |