| NPI | 1306137195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: ND R27674) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN CNP5060) |
| 363L00000X Nurse Practitioner (Licence: ND R27674) | |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2023-01-04 |