| NPI | 1811678782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 14101) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61175689) |
| 163W00000X Registered Nurse (Licence: MN 2476486) | |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2026-04-07 |