| NPI | 1093268120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 5795) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 7050-33) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2020-07-28 |