| NPI | 1538376389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO 0995065-NP) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN R1675081) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2023-11-10 |