| NPI | 1124438734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 2407) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MN R 185046-6) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN R 185046-6) | |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2023-09-14 |