| NPI | 1225307135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 3796) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 3796) |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2023-04-13 |