| NPI | 1407667355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 13408) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28252952A) |
| Enumeration Date | 2025-01-18 |
| Last Update Date | 2025-11-14 |