| NPI | 1982077061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MN CNP 4271) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN CNP 4271) |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2019-02-13 |