| NPI | 1669049706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 10670) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 223905) |
| 363L00000X Nurse Practitioner (Licence: MN 10670) | |
| 363L00000X Nurse Practitioner (Licence: WI 11405) | |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2023-10-13 |