| NPI | 1194365999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 7209) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 2478915) |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2022-11-02 |