| NPI | 1255399283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN CNM0006) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R1203026) |
| 367A00000X Advanced Practice Midwife (Licence: MN CNP0022) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2018-08-07 |