| NPI | 1548774615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 5572) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2125792) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2020-02-18 |