| NPI | 1801165329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R-117202-1) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MN R-117202-1) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2012-11-27 |