| NPI | 1386849180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN CNP 1824) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN R157606-7) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2021-01-20 |