| NPI | 1013718097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 12926) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: MN 2482294) |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2026-06-12 |