| NPI | 1033245980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN R1378223) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R1378223) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-08 |