| NPI | 1407683386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 13000) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 17089-33) |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2025-10-08 |