| NPI | 1700286150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP0007) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R1620120) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2020-12-01 |