| NPI | 1851510366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R 181983-4) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 157868) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-11-12 |