| NPI | 1689284945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 7580) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A160167) |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2022-03-11 |