| NPI | 1023240041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP 3849) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 6648-33) |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2020-07-21 |