| NPI | 1053186007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN F03240212) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2501213) |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2024-12-16 |