| NPI | 1891067005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 2279) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN F0411075) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2022-09-29 |