| NPI | 1144892407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 12694) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: LA 221163) |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2025-05-15 |