| NPI | 1972800365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN 20142224) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MN R1938320) |
| Enumeration Date | 2011-02-21 |
| Last Update Date | 2015-12-08 |