| NPI | 1346797404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 13082) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN CNP 4768) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2025-07-07 |