| NPI | 1497877286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1252) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN VAL1-0430-2174) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2018-03-08 |