| NPI | 1013422021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MN 5506) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R220309-6) |
| 163W00000X Registered Nurse (Licence: WI 229638) | |
| 163WH0200X Registered Nurse Home Health (Licence: MN 22716) | |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2017-12-13 |