| NPI | 1992272504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 5726) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MN 1579860) |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2024-05-06 |