| NPI | 1093503039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 12883) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 196122-9) |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-06-03 |