NPI | 1013359744 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 2606) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 1581450) |
Enumeration Date | 2013-07-23 |
Last Update Date | 2025-02-17 |