| NPI | 1083923494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MN CNP 2617) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MN R164182-4) |
| Enumeration Date | 2010-10-03 |
| Last Update Date | 2016-03-04 |