| NPI | 1811963382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 0954) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R1415076) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MN R141507-6) | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2024-05-17 |