| NPI | 1003475690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 13456) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MN 235467-3) |
| 364S00000X Clinical Nurse Specialist (Licence: MN 617) | |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2025-11-18 |