| NPI | 1558102137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 11742) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2372998) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 11742) | |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-10-30 |