| NPI | 1588275648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 2090092) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 6770) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2023-01-09 |