| NPI | 1568925634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 6730) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28238096A) |
| 163W00000X Registered Nurse (Licence: MN 2288448) | |
| Enumeration Date | 2019-04-07 |
| Last Update Date | 2021-09-16 |