| NPI | 1871150565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 7602) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 1847709) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2024-06-13 |