| NPI | 1992014682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 2010006141) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN R179785-9) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2023-01-30 |