| NPI | 1013471242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP6527) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R241530-5) |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2024-05-30 |