| NPI | 1275897639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN CNM0123) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R210681-8) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN CNP1180) | |
| Enumeration Date | 2012-06-30 |
| Last Update Date | 2018-03-17 |