| NPI | 1770208522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 9713) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MN 2111625) |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2024-03-28 |