| NPI | 1952658825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 2372) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN R134290-3) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2024-02-23 |