| NPI | 1710236138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1688) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD 2012010281) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2024-06-19 |