| NPI | 1508253857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ND 50549) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 205488-9) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: ND 50549) | |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2022-10-29 |