| NPI | 1538817259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R48188) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ND R48188) |
| 163WE0003X Registered Nurse, Emergency (Licence: MN 2388416) | |
| 363L00000X Nurse Practitioner (Licence: MN 7754) | |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2022-03-11 |