| NPI | 1316580087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 7053) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11003621) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 2024070808) | |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2025-04-29 |