| NPI | 1346297959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN R131509-5) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 1776-033) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-09-28 |