| NPI | 1093394959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 12305) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP002107) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2026-04-28 |