| NPI | 1053339655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 2777) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN R 1037577) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2025-12-11 |