| NPI | 1720045735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN R162428-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R1624281) |
| 163WG0000X Registered Nurse, General Practice (Licence: MN R1624281) | |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: MN R1624281) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2023-03-29 |