| NPI | 1285138719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 5641) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 5641) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-07-18 |