| NPI | 1356741599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 1387) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 1864711) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2021-02-01 |