| NPI | 1447223177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 3254) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R100317-4) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2019-04-23 |