| NPI | 1083105308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 5190) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 5190) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2026-06-08 |