| NPI | 1669716338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC RN1042306) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R 2106151) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: MD R178718) | |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2023-08-17 |