| NPI | 1588999270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R192078-1) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2020-07-30 |