| NPI | 1629276050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R161019-8) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 1629276050) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2020-04-27 |