| NPI | 1477292837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 9399) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN MN2250832) |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2023-01-31 |