| NPI | 1487968533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 250) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R1687257) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN F0710316) | |
| Enumeration Date | 2010-07-31 |
| Last Update Date | 2023-01-17 |