| NPI | 1306333844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MN 8028) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 8028) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 8028) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209017106) | |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2022-11-08 |