| NPI | 1922517093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 5475) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 2030447) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2017-10-12 |