| NPI | 1730840893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 9035) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 1881794) |
| Enumeration Date | 2021-12-31 |
| Last Update Date | 2022-07-28 |