| NPI | 1144284274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 1325) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN R098201-8) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MN R098201-8) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2024-06-18 |