| NPI | 1033831961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 9668) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 211081) |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2023-01-10 |