| NPI | 1497898753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MN 3574) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN CNP 3574) |
| 111N00000X Chiropractor (Licence: MN 4892) | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2018-06-01 |