| NPI | 1720527088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 5028) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5014044) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2023-10-30 |