| NPI | 1700833605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 0543) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 118489-9) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2023-12-19 |