| NPI | 1801578059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 10681) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: MN 390200000X) |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-09-13 |