| NPI | 1992092746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1632) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 144422-5) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2024-08-09 |