| NPI | 1447610241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MN CNP 4447) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MN R 202501-2) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2023-01-17 |