| NPI | 1740086628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 13170) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MN 2482591) |
| 163WG0000X Registered Nurse, General Practice (Licence: WI 1121914-30) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 17107-33) | |
| Enumeration Date | 2025-02-21 |
| Last Update Date | 2025-08-25 |