| NPI | 1780038299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN CNP 4473) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN CNP 4473) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-06-29 |