| NPI | 1922554096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN F01200615) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MN CNM0316) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2021-10-19 |