| NPI | 1538125158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP1746) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 1320653) |
| 363L00000X Nurse Practitioner (Licence: MN 1746) | |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2022-04-04 |