| NPI | 1366197626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 8087) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: MN 8087) |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2024-06-20 |