| NPI | 1487745493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP0959) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND R23329) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2022-07-21 |