| NPI | 1841927043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN AG02220107) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN AG02220107) |
| Enumeration Date | 2022-08-07 |
| Last Update Date | 2023-08-16 |