| NPI | 1578842993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP3246) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MN CNP3246) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MN R173384-2) | |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2017-12-27 |