| NPI | 1598151367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 9963) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN r2107613) |
| 163WH0200X Registered Nurse, Home Health (Licence: MN r2107613) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MN 9963) | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2023-02-21 |