| NPI | 1689636615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 3329) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN R123301-2) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2021-12-08 |