| NPI | 1912610098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 9962) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN F12220695) |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2023-08-24 |