| NPI | 1720333685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 2507) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R 123943-0) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2024-03-05 |