| NPI | 1750870515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 7657) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MN 2079534) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 7657) | |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2023-12-11 |