| NPI | 1336517358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: MN 0000000) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 00000) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2015-09-08 |