| NPI | 1780979039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 1906) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN R 200579-9) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2023-09-26 |