| NPI | 1528862372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 12886) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO APN.1000593-NP) |
| 163W00000X Registered Nurse (Licence: MN 1715514) | |
| 163W00000X Registered Nurse (Licence: CO RN.0186418) | |
| Enumeration Date | 2025-04-02 |
| Last Update Date | 2025-09-25 |