| NPI | 1346284569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN R 069318-7) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 0390177-21) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2010-07-28 |