| NPI | 1972859718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 3378) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 185728-1) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2020-10-05 |