| NPI | 1992092746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 29316) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 144422-5) |
| 363L00000X Nurse Practitioner (Licence: MN 1632) | |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2025-04-16 |