| NPI | 1790217040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 10154) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MN 244232-3) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2023-09-27 |