| NPI | 1982386686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 10775) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2363596) |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-10-26 |