| NPI | 1639813371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 9264) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R-1848164) |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-07-13 |