| NPI | 1831810480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 9512) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 9512) |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2022-10-20 |