| NPI | 1689010357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN F0713527) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R1446142) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-08-03 |