| NPI | 1043626047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 4432) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN R120556-1) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP60461334) | |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2024-11-25 |