| NPI | 1942906060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN 10098) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 1687367) |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-04-12 |