| NPI | 1447396940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R 093070-1) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN BOS1-0428-9470) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |