| NPI | 1538872916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 12807) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11023749) |
| Enumeration Date | 2023-01-02 |
| Last Update Date | 2025-10-16 |