| NPI | 1841305240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1549) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R 098294-0) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-08-07 |