| NPI | 1811306228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 3711) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MN R-216093-5) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MN A0314022) | |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2023-12-21 |