| NPI | 1518110501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 1282) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R 146382-4) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2023-01-11 |