| NPI | 1518671726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MN 11417) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: ND R46139) |
| 363L00000X Nurse Practitioner (Licence: ND R46139) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: ND R46139) | |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2024-09-09 |