| NPI | 1629037940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 0845) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R 137549-1) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2024-10-13 |