| NPI | 1841345139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 8734) |
| Additional Taxonomies | 163WC2100X Registered Nurse, Continence Care (Licence: MN R 152840-0) |
| 163WW0000X Registered Nurse, Wound Care (Licence: MN R 152840-0) | |
| 163WX1500X Registered Nurse, Ostomy Care (Licence: MN R 1528400-0) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 8734) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2022-09-21 |