| NPI | 1508416579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 8342) |
| Additional Taxonomies | 163WC3500X Registered Nurse, Cardiac Rehabilitation (Licence: MN 2375351) |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2021-08-03 |