| NPI | 1326061193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN R100687-0) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: MN R100687-0) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: CA 717157) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2010-01-21 |