| NPI | 1740789726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 5821) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: ND R34508) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2020-08-27 |