| NPI | 1821062738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN R-080372-8) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MN R080372-8) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2008-05-15 |