| NPI | 1811489743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 8203) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND R40490) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2021-12-30 |