| NPI | 1699487850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MN 9915) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2465780) |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2023-01-31 |