| NPI | 1457819591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 568) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: MN 568) |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2020-12-10 |