| NPI | 1598201303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OR 201608316NP-PP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN CNP4942) |
| 363L00000X Nurse Practitioner (Licence: MN CNP4942) | |
| 363L00000X Nurse Practitioner (Licence: MN 4942) | |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2021-10-05 |