| NPI | 1992727481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R28446) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R1539486) |
| 363L00000X Nurse Practitioner (Licence: ND R28446) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2021-05-11 |