| NPI | 1861760605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 4136) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 225329-30) |
| 163W00000X Registered Nurse (Licence: MN 229939-8) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2013040386) | |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MO 2010018958) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 4136) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 6735-33) | |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2020-10-05 |