| NPI | 1376716407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 2007007786-21) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 2007007785) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2011-12-01 |