| NPI | 1083284277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 9612) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R039896) |
| 363L00000X Nurse Practitioner (Licence: IA A164641) | |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2022-10-20 |