| NPI | 1174902928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 3837) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R 128583-7) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2024-07-15 |