| NPI | 1326304700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN CNP9746) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MN 259) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MN R156494-3) | |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2022-11-25 |