| NPI | 1881343861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 7217) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MN 7217) |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2022-04-04 |