| NPI | 1023107471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R159732-1) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MN R159732-1) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2015-08-05 |