| NPI | 1164052718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 7040) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: MN 1806177) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2026-02-10 |