| NPI | 1467109256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 9251) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 104460987) |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-07-26 |