| NPI | 1689077232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN F0714534) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 2660) |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2024-04-03 |