| NPI | 1487162798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN 7929) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209018427) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MN 7929) | |
| Enumeration Date | 2018-01-21 |
| Last Update Date | 2023-07-25 |