| NPI | 1679666945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN R 078894-0) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN R 078894-0) |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2007-07-08 |