| NPI | 1871843490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 9620) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 2863172) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2022-10-28 |