| NPI | 1730943440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 11731) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2369396) |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2025-09-26 |