| NPI | 1750343687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 189) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R1186509) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2023-01-18 |