| NPI | 1659533313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8057) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 099439-4) |
| 363L00000X Nurse Practitioner (Licence: WI 68897) | |
| 363L00000X Nurse Practitioner (Licence: MN 93) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2024-01-22 |