| NPI | 1295094001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1198) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R1771053) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2021-01-14 |