| NPI | 1205157872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R185101-2) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MN R 185101-2) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2014-10-15 |