| NPI | 1730146689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 3745) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN R 125516-8) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2018-04-30 |