| NPI | 1235661661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN 5093) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 5093) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2023-08-25 |