| NPI | 1851573000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 51) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 146322-2) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2020-08-10 |