| NPI | 1821831629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 11693) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 11693) |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-07-31 |