| NPI | 1992425441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R48186) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 2457876) |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2023-04-12 |