| NPI | 1184668576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 2036) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MN R 114107-8) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2023-01-24 |