| NPI | 1528685880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 9565) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MN R160776-1) |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2023-01-12 |