| 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 | 2020-10-06 |