| NPI | 1053773499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 4438) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 1631999) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2024-02-09 |