| NPI | 1376533646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 1853) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 1853) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2019-10-15 |