| NPI | 1740996149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 9215) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MN 2494733) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 9215) | |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2025-06-23 |