| NPI | 1730398033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R 129950-6) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MN R 129950-6) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2012-02-20 |