| NPI | 1144866336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MN 7941) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 7941) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 7941) | |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2022-06-01 |