| NPI | 1598072761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 3276) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 153459-1) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2025-03-11 |