| NPI | 1700111788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN R1462760) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 1249) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2021-12-01 |