| NPI | 1487352431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 9525) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 14435) |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2024-07-23 |