| NPI | 1992086383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 3359) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN A0711124) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2021-03-19 |