| NPI | 1013386994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 240540-9) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 203184) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 282690) | |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2017-03-20 |