| NPI | 1447609425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP 4552) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP4552) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2019-11-05 |