| NPI | 1225738198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MN 11363) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic |
| 163W00000X Registered Nurse (Licence: MN 2466857) | |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2024-03-28 |