| NPI | 1235116237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1287) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R1375679) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2021-03-17 |