| NPI | 1356814271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 6180) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 6180) |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2020-09-29 |