| NPI | 1760747471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN R1942536) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN R1942536) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MN R1942536) | |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-08-09 |