| NPI | 1356615322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: MN 214) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: MN 214) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MN 214) | |
| 363L00000X Nurse Practitioner (Licence: MN 6650) | |
| 364S00000X Clinical Nurse Specialist (Licence: MN 210007087) | |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2019-07-04 |