| NPI | 1265177331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 9254) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 1698482) |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2023-10-30 |