| NPI | 1821009671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 600) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN R1251515) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2025-01-16 |