| NPI | 1437245214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1561) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 140758-9) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-10-06 |