| NPI | 1467442137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN R099263-9) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MN R0992639) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2023-03-16 |