| NPI | 1487900395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: MN 2487545) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MN 2487545) |
| Enumeration Date | 2012-07-28 |
| Last Update Date | 2025-01-09 |