| NPI | 1962425082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R 146976-3) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN CNP1645) |
| 363L00000X Nurse Practitioner (Licence: MN R 146976-3) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2022-08-09 |