| NPI | 1861282931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 12892) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2534103) |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-08-19 |