| NPI | 1932337953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 2926) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN R155558-3) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2025-01-13 |