| NPI | 1528799277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 9263) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 215407932279) |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2022-06-23 |