| NPI | 1255077202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 9286) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MN 1750728) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 00000) | |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2023-01-16 |