| NPI | 1285865659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R1565670) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R156567-0) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2017-10-10 |