| NPI | 1417922584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MN R102265-0) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MN R1022650) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MN 102265-0) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2017-04-12 |