| NPI | 1003439969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 8895) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 229123-1) |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2026-06-30 |