| NPI | 1740452044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 703) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN R159923-5) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2024-06-20 |