| NPI | 1801373063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 6031) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R188127-3) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2022-08-19 |