| NPI | 1750348546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN R1138272) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MN R113827-2) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2013-02-26 |