| NPI | 1447506126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 1303) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MN 2012004555) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 2012004555) | |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2024-07-29 |