| NPI | 1508805268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP2494) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R1180518) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2024-02-08 |