| NPI | 1912512302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 11938) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: MN 2212715) |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2024-09-19 |