| NPI | 1043195506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 13386) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MN 2319977) |
| Enumeration Date | 2025-08-06 |
| Last Update Date | 2025-09-26 |