| NPI | 1295929263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 3709) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 3709) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2025-04-24 |