| NPI | 1124752738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANN ROBINSON Owner/Provider 952-913-6422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2022-07-11 |