| NPI | 1023737269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN 9600) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MN R234740-2) |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-10-13 |