| NPI | 1760063226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 8133) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 8133) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 8133) | |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2023-12-28 |