NPI | 1508154691 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 1729) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MN R160234-2) |
Enumeration Date | 2011-07-11 |
Last Update Date | 2024-08-23 |