| NPI | 1376550467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP 3801) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 3801) |
| 363L00000X Nurse Practitioner (Licence: MN R113448-3) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2025-01-21 |