| NPI | 1699254987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 6009) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 6009) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 2081124) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MN F07180711) | |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2021-01-11 |