| NPI | 1740581008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 259716) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R103029-9) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MN R103029-9) | |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2013-05-07 |