| NPI | 1265881841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MN CNP 4581) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN CNP4581) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2018-06-04 |