| NPI | 1003230020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 2083) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 1846098) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2026-01-29 |