| NPI | 1982473393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 10791) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 10791) |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2024-01-09 |