| NPI | 1699889196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 2922) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN R 1416871) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2021-03-31 |