| NPI | 1467938860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 5592) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA 093286) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 5992) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 1262915) | |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2023-11-17 |