| NPI | 1952924995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 8645) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2466784) |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2021-11-23 |