| NPI | 1699749796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 653) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R13T1127) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2023-05-08 |