| NPI | 1629419700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SG0600X Clinical Nurse Specialist Gerontology (Licence: MN R116137-5) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: MN R116137-5) |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-07-17 |