| NPI | 1407256712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 242) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.1001375-NP) |
| 363L00000X Nurse Practitioner (Licence: MN R146858-6) | |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2026-03-31 |