| NPI | 1134742646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 10807) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2480595) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: MN 10807) | |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2024-03-14 |