| NPI | 1477928943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP 4545) |
| Additional Taxonomies | 163WU0100X Registered Nurse, Urology (Licence: MN R-225359-6) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2016-09-06 |