| NPI | 1770991937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R171236-8) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R171236-8) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2016-03-29 |