| NPI | 1932180973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R1085286) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R1085286) |
| 163WM1400X Registered Nurse, Nurse Massage Therapist (NMT) (Licence: MN R1085286) | |
| 251J00000X Nursing Care (Licence: MN R1085286) | |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2025-03-26 |