| NPI | 1720342033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 2013007754) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MN R 153252-2) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2013-08-19 |