| NPI | 1851647812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 503) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN R-177945-3) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2024-05-06 |