| NPI | 1720369341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R 159525-5) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 2011009384) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2024-02-22 |