| NPI | 1447219274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 1374939) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R-137493-9) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MN 1374939) | |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2024-05-10 |