| NPI | 1366728636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN R2050045) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 286552-4405) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN R 2050045) | |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2018-02-19 |