| NPI | 1831320100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN R-177838-6) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R1778386) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2022-02-25 |