| NPI | 1942075809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 11027) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP003027) |
| Enumeration Date | 2023-11-21 |
| Last Update Date | 2024-03-27 |