| NPI | 1922236223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN R189007-3) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R189007-3) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2025-05-07 |