| NPI | 1710295316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 2010007983) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN A0710056) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MN G0710007) | |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2020-05-28 |