| NPI | 1073299004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN 10748) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2324865) |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2024-11-06 |