| NPI | 1801332762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN CNP 4946) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 4946) |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2024-11-25 |