| NPI | 1447973201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 9675) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2467802) |
| 163WC1500X Registered Nurse, Community Health (Licence: MN 29083) | |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2022-11-01 |