| NPI | 1265841076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP2809) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R173828-7) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2018-03-11 |