NPI | 1033662135 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 4870) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MN R 196155-9) |
363L00000X Nurse Practitioner (Licence: MN 4870) | |
Enumeration Date | 2016-07-26 |
Last Update Date | 2021-02-01 |