| NPI | 1033199096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1423) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R154614-9) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2023-01-10 |