| NPI | 1336307362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1024) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 137075-5) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2020-08-07 |