| NPI | 1942759576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN CNP 4807) |
| Additional Taxonomies | 176B00000X Midwife (Licence: MN 514) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2022-09-07 |