| NPI | 1225662695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: MN 7249) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MN 7249) |
| 363LF0000X Nurse Practitioner Family (Licence: MN 7249) | |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2022-03-31 |