| NPI | 1750800645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 7721) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: MN 2290355) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2023-09-29 |