| NPI | 1023406121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 3643) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: MN R168594-5) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN 20150242) | |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2023-04-28 |