| NPI | 1598041311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP0079) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 4663-33) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2025-07-15 |