| NPI | 1922488238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 9945) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 6407-33) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2023-02-14 |