| NPI | 1083217806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP7688) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R185280-4) |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2024-07-10 |