| NPI | 1225282544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP0671) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R1609112) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2024-10-31 |