| NPI | 1164419644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MN CNS 0275) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 275) |
| 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: MN 275) | |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2021-11-08 |