| NPI | 1437450301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1791) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 198564-5) |
| 363L00000X Nurse Practitioner (Licence: MA RN2323081) | |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2025-06-10 |