| NPI | 1306096342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R 162018-8) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 162018-8) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2013-04-29 |