| NPI | 1205336369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 5730) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN AG07170161) |
| 363L00000X Nurse Practitioner (Licence: MN 1910500) | |
| 363L00000X Nurse Practitioner (Licence: MN 5730) | |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2024-01-09 |