| NPI | 1437239977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN CNP 2464) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MN R 149380-7) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2017-01-12 |