| NPI | 1528530821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 6275) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 1901904) |
| 363L00000X Nurse Practitioner (Licence: MN 6275) | |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2022-09-01 |