| NPI | 1598840159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 2652) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN R139022-7) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2021-04-19 |