| NPI | 1326490467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 4639) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 1985564) |
| 363L00000X Nurse Practitioner (Licence: MN 4639) | |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2021-08-09 |