| NPI | 1730734773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 6750) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 6750) |
| 363L00000X Nurse Practitioner (Licence: MN 6750) | |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-07 |