| NPI | 1619497476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP5215) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 1913808) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 2017009107) | |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2024-08-25 |