| NPI | 1942522412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 5839) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 191413-7) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MN 5839) | |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2019-06-07 |