| NPI | 1356644835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 2260) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 1306091) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2024-02-13 |