| NPI | 1003016940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 2226) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 1435810) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2020-10-05 |