| NPI | 1336032887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 13133) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN R-218542-8) |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2025-08-01 |