| NPI | 1427341247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN CNP2078) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R158402-0) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2021-02-04 |