| NPI | 1942362512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MN R168288-3) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 0345128-22) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2013-09-27 |