| NPI | 1841737814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN CNP5016) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 209309-9) |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: MN CNP5016) | |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2023-09-14 |