| NPI | 1912393075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 1388) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN CNP1388) |
| 363L00000X Nurse Practitioner (Licence: MN 1388) | |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2024-07-30 |