Bobbi Rae Sage, 17, received the award at the United Tribes International Powwow in Bismarck.
Sage, a member of the Three Affiliated Tribes, sings country and gospel music. She plans to use the award's scholarship to study medicine in South Dakota and hopes to become an obstetrician.
Eight other young women competed for the title. The runner-up was Mialyn Spoonhunter, a Northern Arapaho tribal member from Browning, Mont.
The Miss Indian Nations program is open to American Indian women ages 17 to 26. Contestants are judged on such things as communication skills, personal conduct and traditional skills.
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