NPI | 1750175774 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 13019) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 1574506) |
Enumeration Date | 2025-04-07 |
Last Update Date | 2025-09-05 |