| NPI | 1881613024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R094416-6) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R094416-6) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2009-03-13 |