| NPI | 1811652027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 8823) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN pending) |
| 163W00000X Registered Nurse (Licence: MN 2023302) | |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2021-12-03 |