| NPI | 1689854796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 9149) |
| Additional Taxonomies | 163WP2201X Registered Nurse Ambulatory Care (Licence: MN 1720800) |
| 225X00000X Occupational Therapist (Licence: MN 103321) | |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2022-04-29 |