| NPI | 1609688688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 12655) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 2299767) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN F11240102) | |
| Enumeration Date | 2025-01-25 |
| Last Update Date | 2025-04-17 |