| NPI | 1982014973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 1943) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 9978) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2020-10-09 |