| NPI | 1851585335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 848) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 144675-7) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2020-08-07 |