| NPI | 1447864467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 11115) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: WI 236204) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 14342-33) | |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2024-01-08 |