| NPI | 1730722026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 8863) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 2493037) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 262369) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL student) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 1518833) | |
| Enumeration Date | 2019-10-20 |
| Last Update Date | 2024-10-06 |