| NPI | 1316212400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R1650695) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 2011006834) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MN R 1650695) | |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2014-07-28 |