| NPI | 1609852599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 2968) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R1122204) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2024-07-08 |