| NPI | 1285312454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 10561) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2449782) |
| 363L00000X Nurse Practitioner (Licence: FL APRN11034453) | |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2025-08-25 |