| NPI | 1689914327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 6021) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MN 208993-5) |
| Enumeration Date | 2013-02-16 |
| Last Update Date | 2019-03-12 |