| NPI | 1437163128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 807) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R140640-9) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-10-05 |