| NPI | 1366034514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 9572) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 715949) |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2022-10-10 |