| NPI | 1174990089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MN 5222) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 5222) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: MN 5222) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: MN 5222) | |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MN R214630-2) | |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2025-09-04 |