| NPI | 1275594483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 846) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R105041-5) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2024-01-11 |