| NPI | 1457572968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 2801) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2157074) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2018-03-26 |