| NPI | 1124860390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 11752) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 2000552697) |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-09-11 |