| NPI | 1710304340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 4404) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 207667-6) |
| 363L00000X Nurse Practitioner (Licence: MN F1215508) | |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2024-07-19 |