| NPI | 1083658157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 6846) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: MN R-135342-6) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-12-18 |