| NPI | 1912941519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN R 162462-1) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 162462-1) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2025-09-11 |