| NPI | 1437590122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 4272) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA L117391) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2020-08-10 |