| NPI | 1194071449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 2081) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R182757-0) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2024-08-09 |