| NPI | 1144930512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 9878) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 1848672) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: ND R53317) | |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2024-04-22 |