| NPI | 1962711523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MN 10320) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: MN R 139980-4) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2023-07-25 |