| NPI | 1104588656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 8584) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 1949337) |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2024-07-19 |