| NPI | 1548126667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 13843) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2479013) |
| Enumeration Date | 2026-01-02 |
| Last Update Date | 2026-01-23 |