| NPI | 1588904569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN R 181325-4) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 181325-4) |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2021-03-10 |