| NPI | 1982070017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN CNP 4076) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R173538-7) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2019-10-09 |