| NPI | 1760956502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 6258) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: MN 6258) |
| 207Q00000X Family Medicine (Licence: MN 6258) | |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2022-01-18 |