| NPI | 1073690012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 2472) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R0933245) |
| 363L00000X Nurse Practitioner (Licence: CO 0991736) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 0991736) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN R0933245) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MN R0933245) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-06-14 |