| NPI | 1023633096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 9346) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND R42272) |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2022-10-30 |