| NPI | 1679067847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 5897) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 5897) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2024-03-21 |