| NPI | 1164700498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R131923-7) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R1319237) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2016-03-23 |