| NPI | 1124409537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP3949) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R1880685) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2024-09-16 |