| NPI | 1952760662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP 4409) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND 204477) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2026-05-14 |