| NPI | 1831028208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 14617) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: MN 2488818) |
| Enumeration Date | 2026-05-13 |
| Last Update Date | 2026-08-28 |