| NPI | 1114997004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 818) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN R083720-2) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2024-02-01 |