| NPI | 1902214471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 2048) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN R190790-8) |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2026-05-01 |