| NPI | 1447930755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 11349) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MN 2481331) |
| 363LF0000X Nurse Practitioner, Family (Licence: SD CP003391) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 2023167746) | |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2024-09-30 |