| NPI | 1396373932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 7702) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 0284554) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2023-01-30 |