| NPI | 1821854472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 11919) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: MN 2173757) |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2024-12-30 |