| NPI | 1083325435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN R35013) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ND R35013) |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2023-04-17 |