| NPI | 1306278668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 3023) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 182691-1) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2021-02-16 |