| NPI | 1174019038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 6072) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 194499) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2022-09-12 |