| NPI | 1336527258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN R193515-8) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN CNP3935) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2022-11-07 |