| NPI | 1609327386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN 5494) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001165) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: SD CP001165) | |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2022-06-09 |