| NPI | 1518952340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP0755) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R1330452) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2023-10-26 |