| NPI | 1346863354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 9312) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2429100) |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2022-12-23 |