| NPI | 1285487751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 11718) |
| Additional Taxonomies | 163WU0100X Registered Nurse, Urology (Licence: MN 2477537) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 2477537) | |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-07-18 |