| NPI | 1376081133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP 4989) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R192981-8) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2024-01-05 |