| NPI | 1962029611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 13813) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 8958979-4409) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: UT 8958979-4409) | |
| 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: UT 8958979-4409) | |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2026-01-22 |