| NPI | 1558596676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 2005) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R165420-6) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2024-08-06 |