| NPI | 1013621432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 10009) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 236906-6) |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-03-17 |