| NPI | 1649210790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP2340) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R1303609) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2025-03-20 |