| NPI | 1184292153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 8310) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: MN 2150709) |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2021-07-22 |