| NPI | 1679879241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 2338) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R-174313-3) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN R-174313-3) | |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2024-03-28 |