| NPI | 1518443530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 6008) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 1841459) |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2021-07-16 |