| NPI | 1366868861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MN 6818) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: MN 1010405) |
| 163W00000X Registered Nurse (Licence: MN 2125653) | |
| 163WC1500X Registered Nurse, Community Health (Licence: MN 23976) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 6818) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 6818) | |
| Enumeration Date | 2014-03-09 |
| Last Update Date | 2020-02-05 |