| NPI | 1669494159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 0785) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R27757) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: MN R1129197) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2023-03-27 |