| NPI | 1184352999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 12387) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R233716) |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2025-02-17 |