| NPI | 1821727215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 9275) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A167176) |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2022-07-15 |