| NPI | 1841814753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 9558) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 27429) |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2022-10-10 |