| NPI | 1598540700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 9999) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2477905) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MN 28761) | |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2024-02-02 |