| NPI | 1487839429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 3143) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R1466915) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2023-01-10 |