| NPI | 1124284476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 2553) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MN 2553) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MN R 160248-7) | |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2021-03-11 |