| NPI | 1356305734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN R0840383) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 866) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2020-11-10 |