| NPI | 1306271614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MN R223315-0) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MN CNS3222) |
| 363LF0000X Nurse Practitioner Family (Licence: CA 23367) | |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2023-12-01 |