| NPI | 1003262734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN CNP4522) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R1226317) |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2025-02-04 |