| NPI | 1033427760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 2364) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R-172789-0) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2020-11-10 |