| NPI | 1063993988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 6177) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2146470) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2021-03-15 |