| NPI | 1003449950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 1393596) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 7113) |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2025-04-02 |